Needs assessment of home care services for the aged in the community

社区居家养老服务需求评估

• 批准号: 10670372
• 负责人: MATSUDA Shinya
• 金额: $ 1.47万
• 依托单位: University of Occupational and Environmental Health
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1998
• 资助国家: 日本
• 起止时间: 1998 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10670372/
• 关键词: The aged; Home help service; Insurance of long-term care; Care plan; Visiting nursing services; home help service; Day care; TAI; 在宅介護; 施設介護; 痴呆; 高齢者福祉; 要介護高齢者

Based on individual data of dependent aged in Kitakyushu City and a neighboring community (133 home cases and 116 institutionalized cases ; total 249 cases), model care plans were constructed according to type of family and dependency level. By using the data of Kitakyushu and the estimation of Ministry of Welfare and Health, the number of aged people for each category was estimated for Kitakyushu City. Needs assessment of home care services for the aged in Kitakyushu City was tried by combining these two estimations. The estimation has suggested that more home care services are required in order to satisfy the needs of community (30% plus for home help service, 100% plus for home nursing service, and 500% plus for day service, even though the utilization level is 40% of the estimation). Another important consideration is that needs for the services are heavily influenced by the familial condition.According to the result of chronological assessment of change in dependency level among the 49 dependent aged who have been using the home help service and day care service organized by a Community Council of Social Welfare (January 1997 to January 2000), a slight worsening of dependency-level was observed among the investigated aged people (30% for moving, 10% for mental level. As an associate factor of worsening of dependency level, bone and joint was detected. It is suggested that home care services should be useful for the prevention of worsening of dependency level of the frail aged.

根据北九州市和邻近社区的依赖老年人的个人数据（133个家庭病例和116个机构病例;共249例），根据家庭类型和依赖程度构建了模式护理计划。利用北九州市的数据和厚生省的估计，对北九州市的各类老年人人数进行了估计。结合这两种估计，对北九州市老年人的家庭护理服务的需求进行了评估。根据估计，我们需要更多家居照顾服务，以满足社区的需要（家务助理服务超过30%，家居护理服务超过100%，而日间服务则超过500%，尽管使用率是估计的40%）。另一个重要的考虑因素是，服务的需要很大程度上受家庭状况影响。根据一项按年代评估49名使用由社会福利社区理事会举办的家务助理服务及日间照顾服务的受供养长者的受供养程度的变化的结果，（1997年1月至2000年1月），被调查老年人的依赖水平略有恶化（30%为搬家，10%为精神水平）。作为依赖性水平恶化的相关因素，检测到骨和关节。建议家庭护理服务应有助于防止体弱老年人的依赖程度恶化。